Direct aortic transcatheter valve implantation via mini-thoracotomy using the Medtronic CoreValve

Giuseppe Bruschi; Luca Botta; Federico De Marco; Paola Colombo; Sandra Nonini; Silvio Klugmann; Luigi Martinelli

doi:10.1093/mmcts/mmt015

Direct aortic transcatheter valve implantation via mini-thoracotomy using the Medtronic CoreValve

Giuseppe Bruschi, Luca Botta, Federico De Marco, Paola Colombo, Sandra Nonini, Silvio Klugmann, Luigi Martinelli

IRCCS Policlinico San Donato

Research output: Contribution to journal › Article › peer-review

Abstract

Transcatheter aortic valve implantation using the Medtronic CoreValve is a well-established procedure. Although previously carried out only through the common femoral artery, today it is possible to perform the procedure through different arterial alternative access sites. A direct aortic approach through the ascending aorta could be carried out via a right anterior mini-thoracotomy in the second intercostal space. The pericardium is opened to expose the aorta. Two purse-string sutures are then placed on the ascending aorta and a standard retrograde CoreValve implantation is performed with the standard delivery system. Advantages, contraindications, surgical technique and results are discussed.

Original language	English
Pages (from-to)	mmt015
Journal	Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery
Volume	2013
DOIs	https://doi.org/10.1093/mmcts/mmt015
Publication status	Published - 2013

Keywords

Aortic stenosis
Aortic valve
Direct aortic valve implantation
Minimally invasive
Thoracotomy
transcatheter valve implantation

ASJC Scopus subject areas

Medicine(all)

Access to Document

10.1093/mmcts/mmt015

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Direct aortic transcatheter valve implantation via mini-thoracotomy using the Medtronic CoreValve. / Bruschi, Giuseppe; Botta, Luca; De Marco, Federico; Colombo, Paola; Nonini, Sandra; Klugmann, Silvio; Martinelli, Luigi.

In: Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery, Vol. 2013, 2013, p. mmt015.

Research output: Contribution to journal › Article › peer-review

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abstract = "Transcatheter aortic valve implantation using the Medtronic CoreValve is a well-established procedure. Although previously carried out only through the common femoral artery, today it is possible to perform the procedure through different arterial alternative access sites. A direct aortic approach through the ascending aorta could be carried out via a right anterior mini-thoracotomy in the second intercostal space. The pericardium is opened to expose the aorta. Two purse-string sutures are then placed on the ascending aorta and a standard retrograde CoreValve implantation is performed with the standard delivery system. Advantages, contraindications, surgical technique and results are discussed.",

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AU - Bruschi, Giuseppe

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AU - De Marco, Federico

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AU - Nonini, Sandra

AU - Klugmann, Silvio

AU - Martinelli, Luigi

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AB - Transcatheter aortic valve implantation using the Medtronic CoreValve is a well-established procedure. Although previously carried out only through the common femoral artery, today it is possible to perform the procedure through different arterial alternative access sites. A direct aortic approach through the ascending aorta could be carried out via a right anterior mini-thoracotomy in the second intercostal space. The pericardium is opened to expose the aorta. Two purse-string sutures are then placed on the ascending aorta and a standard retrograde CoreValve implantation is performed with the standard delivery system. Advantages, contraindications, surgical technique and results are discussed.

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KW - Aortic valve

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KW - Minimally invasive

KW - Thoracotomy

KW - transcatheter valve implantation

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Direct aortic transcatheter valve implantation via mini-thoracotomy using the Medtronic CoreValve

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

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